What to expect in your first year — and beyond
🧠 Why Bone Health Takes Time
Bones are slow to change — but they do respond to consistency.
Unlike blood sugar or weight loss, bone density changes are gradual. That’s why BoneBuilder uses milestone tracking, progressive layers of support, and early response markers like CTX to guide your journey.
📅 Your Year-One Milestones
| Month | What Happens |
| 0 | Intake, DXA body comp, labs, supplement start |
| 1–2 | Adjust doses (LDN, D3, Mg), reinforce movement plan |
| 3 | CTX + lab review → early biochemical progress |
| 4–5 | Add therapies if needed (hormone support, Rapamycin, etc.) |
| 6 | Full check-in consult → adjust, refer, or maintain |
| 9 | Optional mid-point review (labs or compliance check-in) |
| 12 | Repeat DEXA → determine if continuing, escalating, or maintaining |
| 18–24 | Maintenance phase: simplified labs + optional check-ins |
🔁 After 12 Months: What’s Next?
If you’re:
✅ Responding well — stay on your simplified plan with fewer labs/check-ins
❗ Plateaued or losing ground — we may revisit hormone or medication options
📈 Doing great — we may add you to a low-cost “asynchronous refill” track with simple check-ins every 6 months
The goal is not just BMD improvement — it’s fracture prevention, muscle strength, and whole-body aging reversal.
🧾 What Ongoing Monitoring Looks Like
| Marker | Frequency |
| CTX urine | 3–6 months until stable, then annually |
| 25(OH)D + labs | Every 6–12 months |
| DEXA BMD | Every 12–24 months |
| HRT labs (if applicable) | Every 3–6 months |
| Symptom tracking | At each follow-up |
💊 Simplified Supplement Plan for Maintenance
Once stabilized, you may only need:
- Bone-Up or equivalent
- D3 + K2
- Magnesium
- Omega-3s
- Optional LDN (if inflammation is ongoing)
- Collagen / bone broth as needed
We’ll revisit this together at each visit.
🧩 Optional Therapies for Long-Term Strength
| Option | When to Use |
| Rapamycin | If inflammation persists or BMD still declining |
| Metformin / GLP-1 | If insulin resistance is part of the picture |
| Prolia | For high-risk or non-responders |
| Advanced PT / osteogenic loading | If activity plateaued or fracture risk ↑ |
🧘 What to Expect in Yourself
- Confidence in your body returns
- Fewer joint aches and posture issues
- Improved energy, metabolism, and mood
- Better strength and mobility
- Stronger commitment to long-term health
💬 FAQs
Can I stop supplements eventually?
→ Possibly. We re-evaluate after year 1 to see what you still need.
What if I stop improving?
→ We reassess: more labs, additional testing, or specialty referrals.
How long do I need to stay in BoneBuilder?
→ Some graduate at 12–18 months. Others choose to stay long-term for monitoring and support.
✨ Final Thought
Bone loss is common — but it is not inevitable.
Your effort today prevents falls, fractures, surgeries, and independence loss later.
BoneBuilder is your partner in that journey.